NUMERO: #20230921

Título: IS THE DONOR SITE MORBITY AFTER FIBULA FLAP HARVEST FOR MANDIBULAR RECONSTRUCTION REALLY LIMITING? 13 OF SURGICAL POST

Nome do Apresentador: Laurindo Moacir SASSI

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Cirurgia e traumatologia bucomaxilofacial

Resumo: OBJECTIVE: To show the physical limits of a patient after removal of the fibula. METHOD: The patient underwent resection of the body and ascending ramus of the mandible due to a bone lesion diagnosed as ameloblastoma. It was reconstructed with microvascularized fibular flaps (FMR). In the anterior region, a niche was built in the stump of the mandible, where the end of the fibula was introduced. It was fixed with titanium mini-plates. Postoperatively, the patient was released for physiotherapy and started walking and running, even participating in a 42km marathon 19months after surgery. RESULT: Female patient NMM, 39years old, presented ameloblastoma in the body and left ascending ramus of the mandible, which was resected. After tumor resection/immediate reconstruction was performed with FMR and returned to function, aesthetics. CONCLUSION: Full function recovery of the flap donor leg. It is necessary to encourage the patient to lead his normal life.

Autor 1:  Laurindo Moacir SASSI

E-mail 1:  [email protected]

Autor 2:   José Luis Dissenha

E-mail 2:  [email protected]

Autor 3 :  Maria Isabela Guebur

E-mail 3:  [email protected]

Autor 4:  Fernando L Zanferrari

E-mail 4:  [email protected]

Autor 5:  Paola A. G. Pedruzzi

E-mail 5:  [email protected]

Autor 6:  Alfredo B. da Silva

E-mail 6:  [email protected]

Autor 7:  Cleverson Patussi

E-mail 7:  [email protected]